| NPI | 1801327671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE D MEDESTOMAS President 787-266-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: PR 15229) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |