| NPI | 1619659356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOMARY DELGADO Intern 787-206-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-09-25 |