| NPI | 1265244701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANCY NINNETTE ACOSTA ZAMBRANA Administrative Member 787-913-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |