| NPI | 1902159049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIEVA ACEVEDO NEGRON Presidenta 787-812-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16226) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |