| NPI | 1699314500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R DE TERREFORTE-DIAZ Chief Executive Officer 939-545-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-10-07 |