| NPI | 1871969188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDALIAS DOMINGUEZ President 787-810-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 9886) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |