| NPI | 1619193539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL J VAZQUEZ Excutive Director 787-848-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PR 12) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 12) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-06-28 |