NPI | 1366060766 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD COLLAZO PAGAN Director 787-918-8618 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-07-12 |
Last Update Date | 2022-01-10 |