NPI | 1659571289 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE RAFAEL PESQUERA-GARCIA Director 787-728-1193 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 7279) |
Enumeration Date | 2007-07-22 |
Last Update Date | 2007-07-22 |