| NPI | 1609505502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILMARIS SEGARRA Provider 787-901-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |