| NPI | 1720276744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN LUIS AVILES BORRERO President 787-406-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: PR 201) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |