| NPI | 1386199032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SOFIA CARVAJAL DIAZ President 787-360-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: PR 19082) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-09-20 |