| NPI | 1265647366 |
|---|---|
| Other Name | IDEA |
| Entity Type | Organization |
| Authorized Contact | LUIS E LANDESTOY Md 787-240-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: PR 7570) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2025-11-19 |