| NPI | 1801192901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO A LAABES President 787-585-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X (Licence: PR 17717) | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2020-06-18 |