| NPI | 1629317482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELIS MORALES-COLON Md 866-218-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ACN434) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-03-09 |