| NPI | 1811451883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL VEGA DE JESUS Finance Director 787-871-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |