| NPI | 1285393587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A ALDARONDO Administrative Assistant 787-646-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-01-04 |