| NPI | 1871633842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAVEZ MIRIAM Administrator 787-763-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: PR 40 CNC NUM 93-060) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-09-25 |