| NPI | 1871868547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANA MEDINA President 787-720-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |