NPI | 1689067027 |
---|---|
Entity Type | Organization |
Authorized Contact | IVONNE DE LOURDES FRAGA President 787-403-5534 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PR 13162) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-03-10 |