| NPI | 1417239336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A MUNDO Owner 787-850-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: PR 8410) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2012-11-28 |