| NPI | 1841600624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDO GONZALEZ President 787-897-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 13643) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2015-10-16 |