NPI | 1417574039 |
---|---|
Entity Type | Organization |
Authorized Contact | MIRELLA M BAEZ A VP 787-463-3465 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 251B00000X Case Management |
261QC0050X Clinic/Center, Critical Access Hospital | |
261QC1500X Clinic/Center, Community Health | |
261QE0002X Clinic/Center, Emergency Care | |
261QH0100X Clinic/Center, Health Services | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2300X Clinic/Center, Primary Care | |
261QR0200X Clinic/Center, Radiology | |
261QR0206X Clinic/Center, Radiology, Mammography | |
261QU0200X Clinic/Center, Urgent Care | |
302F00000X Exclusive Provider Organization | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-06-30 |