| NPI | 1558520387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA CAMACHO President/Nutritionist 787-796-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 806) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-05-07 |