| NPI | 1518569136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MANUEL AYALA President 787-502-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-13 |