| NPI | 1487378295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SERRANO Presidente 787-679-6965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |