| NPI | 1649398116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA THOMAS VISSEPO President 787-243-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |