| NPI | 1538545710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIMA GONZALEZ Nutritionist 787-397-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PR 1904) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |