| NPI | 1851061121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL ENRIQUE TORRES LASANTA President 787-934-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |