| NPI | 1780893032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FRANCISCO HERNANDEZ President 787-724-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PR 121762) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |