| NPI | 1639371339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIRIO A DIAZ Executive Assistant 787-862-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: PR 20) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-10-06 |