| NPI | 1700190683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN S GOMEZ Shareholder 787-415-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 15478) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PR 17221) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |