| NPI | 1902218704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BERMUDEZ President 787-892-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 13096) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PR 13077) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |