| 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 |