| NPI | 1659009298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERVIN SANCHEZ MALDONADO President 787-658-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-10-31 |