| NPI | 1861001414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO E MARTINEZ Owner 787-342-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2025-04-03 |