| NPI | 1457788226 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LILLIBETH CASTRO Administrator 787-879-4632  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 207R10011X)  | 
| Enumeration Date | 2013-10-10 | 
| Last Update Date | 2023-03-07 |