| NPI | 1457916256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN COLON Mbr 787-804-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |