| NPI | 1376902759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA MICHELLE BENABE Medical Director 787-379-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 16821) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |