| NPI | 1679159057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M ROMERO Chancellor 787-864-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-09-30 |