| NPI | 1699135228 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PAUL H DIXON SELLES President 787-678-6224  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: PR 9418)  | 
| Enumeration Date | 2016-02-24 | 
| Last Update Date | 2016-02-24 |