| NPI | 1346214129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYDA LOPEZ MARTINEZ Administrator 787-803-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 04PU7-00000-04656) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-11-16 |