| NPI | 1376954347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANO ROMAN Doctor 787-785-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PR 00309) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |