| NPI | 1700220480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS IVAN MALDONADO President 787-638-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: PR 15122) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |