| NPI | 1326533134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE RIVERA PADILLA President 787-675-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 18-074) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18-074) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PR 18-074) | |
| 207R00000X Internal Medicine (Licence: PR 18-074) | |
| 207V00000X Obstetrics & Gynecology (Licence: PR 18-074) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |