| NPI | 1720230626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ITZA D CHEVRES Executive Director 787-870-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: PR 012446) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PR 9462) |
| 261QR0200X Clinic/Center, Radiology (Licence: PR 2532) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |