| NPI | 1720527831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PEREZ HERNANDEZ Doctor 787-779-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 12314) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |