| NPI | 1457892044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIRIO ANTONIA DIAZ Executive Director 787-862-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2019-12-04 |