| NPI | 1639316995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K ROY Billing Director 787-806-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PR 29) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |