| NPI | 1568967651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RUBEN GONZALEZ Physician/President 787-755-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 12662) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |