| NPI | 1326523119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS M MERCADO Owner 787-892-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-12-03 |