| NPI | 1659103448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA FRANCHESKA MIRANDA MEDINA Owner 787-435-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-10-13 |