| NPI | 1851992242 |
|---|---|
| Former Legal Business Name | MEDICAL SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERRY CHARNECO TIFAL President 787-948-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |