| NPI | 1477140655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA E GONZALEZ VEGA President 787-831-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |