| NPI | 1801595798 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIA CRISTINA CRUZ MIRANDA President 787-692-4295  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities | 
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-02-28 | 
| Last Update Date | 2023-02-28 |