| NPI | 1295282499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLA M MANSILLA LETELIER Owner 787-233-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 18179) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |