| NPI | 1649406976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO JOSE BLONDET VISSEPO President/Owner 787-842-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2022-04-26 |