| NPI | 1568896272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILEINY RIVERA SOTO Clinican Social Worker 787-612-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PR 20201) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |