| NPI | 1518550508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL JOSE ORTIZ BUSTILLO President 787-991-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |