| NPI | 1760583504 |
|---|---|
| Former Legal Business Name | PSM PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | HECTOR BURGOS Administrator 787-614-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PR 4650E) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-08-28 |