| NPI | 1336404375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M RIVERA Md 787-938-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PR 15206) |
| 261QH0100X Clinic/Center, Health Services (Licence: PR 15206) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-12-05 |