| NPI | 1346008661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIARALIZ LOPEZ HERMINA CEO 787-210-9816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 208D00000X General Practice |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |