| NPI | 1639173354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO E BOSQUE Medic Director 787-760-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 3277) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-08-22 |