| NPI | 1467934075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA QUINONES Owner 787-852-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 17835) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |