| NPI | 1811286263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE NELSON MALAVE President 787-203-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PR 9721) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |