| NPI | 1417430307 |
|---|---|
| Doing Business As | NAGUABO MEDICAL MALL |
| Entity Type | Organization |
| Authorized Contact | HARRY EMILIO NEGRON JUDICE President 787-874-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PR 32) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PR 32) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |