| NPI | 1801412010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA MORALES TORREO Administradora/Appeals And Grievanc 787-622-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC0050X Clinic/Center, Critical Access Hospital | |
| 261QD0000X Clinic/Center, Dental | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| 302F00000X Exclusive Provider Organization | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-07-14 |