| NPI | 1417969411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RODRIGUEZ-CASTRO Executive Director 787-862-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: PR 20) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-12-04 |