NPI | 1316167661 |
---|---|
Entity Type | Organization |
Authorized Contact | IVONNE RIVERA CEO 787-268-4171 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2007-04-27 |
Last Update Date | 2025-07-30 |