| NPI | 1578904082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L MIRANDA President 787-799-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PR 14533) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |