| NPI | 1588637789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHZAIDA LOPEZ Supervisor 787-882-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 22) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PR 1) |
| 291U00000X Clinical Medical Laboratory (Licence: PR 864) | |
| 261QE0002X Clinic/Center, Emergency Care | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-01-20 |