| NPI | 1255745725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONISHKA CRUZ MACHADO Administradora 787-428-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-07-21 |