| NPI | 1467655522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNACIO ACEVEDO Family Medicine 787-884-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 10514) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-02-26 |