| NPI | 1356900468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE M ORTIZ MORALES Presidente 787-248-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |