NPI | 1679075212 |
---|---|
Other Name | INSPIRA AMBULATORY CLINIC - COAMO |
Entity Type | Organization |
Authorized Contact | JAVIER ENRIQUE TORRES Contracting Director 787-704-0705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PR CASM-0779) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2019-03-22 |