| NPI | 1255879474 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ADOLFO MATIAS Administrator 787-229-1110  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PR 029804)  | 
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PR 14771)  | 
| Enumeration Date | 2017-02-08 | 
| Last Update Date | 2017-02-08 |