| NPI | 1639420771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICARMEN QUINONES President/Primary Physician 787-792-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 5441) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2024-02-28 |