| NPI | 1750509154 |
|---|---|
| Former Legal Business Name | NO |
| Entity Type | Organization |
| Authorized Contact | JOHNNY ONGAY President 787-278-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2017-01-11 |