| NPI | 1497338008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBA YESI GERENA MALDONADO President 787-840-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-05-13 |