| NPI | 1871213074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMAS J TIRADO President 787-504-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-10-11 |