| NPI | 1366670275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALFONSO BONFIL Administrator 787-226-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 15891) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14286) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |