| NPI | 1487546560 |
|---|---|
| Former Legal Business Name | TABULA RASA CORP |
| Entity Type | Organization |
| Authorized Contact | KENDRA ALVARES-SANTIAGO Presidente 787-605-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |