| NPI | 1265647366 |
|---|---|
| Other Name | IDEA |
| Entity Type | Organization |
| Authorized Contact | LUIS E LANDESTOY Director 787-762-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: PR 7570) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |