| NPI | 1255758157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS RAFAEL FERMIN VALDEZ Medical Director 787-347-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: 11603) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |