| NPI | 1669097374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENERIS MARIE MEDINA Compliance Officer 787-843-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |