| NPI | 1700779972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIANETSIE NIEVES Executive Director 787-877-4213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |