| NPI | 1306178561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CORREA Billing Supervisor 787-625-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 7431) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |