| NPI | 1669697652 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LETICIA VELLEJO CARMONA Administrator 787-751-1110  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty | 
| Enumeration Date | 2007-04-16 | 
| Last Update Date | 2025-03-27 |