| NPI | 1336173897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE NELSON CASILLAS Vice President 787-798-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 0011) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |