| NPI | 1487405627 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MAYRA S TORRES Presidente 787-360-4933  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2024-03-27 | 
| Last Update Date | 2025-05-20 |