| NPI | 1861880700 |
|---|---|
| Other Name | CENTRO DE SERVICIOS PREVENTIVOS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM R DIAZ President/Owner 939-640-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |