| NPI | 1861051906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE CEDENO ESPAILLAT Owner 787-784-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |