| NPI | 1417907502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS RODRIGUEZ Executive Director 787-897-2727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PR CNC99-285) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-02-22 |