| NPI | 1295560209 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VANESSA ESTHER ALVARADO GONZALEZ Authorized Official 787-718-3481  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208D00000X General Practice | 
| Enumeration Date | 2024-09-09 | 
| Last Update Date | 2024-09-09 |