| NPI | 1720383458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILIS MERCADO MATOS Dietitian 1787-735-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: PR 1521) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-07-05 |