| NPI | 1275676108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGO J. MARQUES Vice President 787-725-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2762) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |