| NPI | 1912100140 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIA CELESTE SAN ANTONIO President 787-293-0505  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 13088)  | 
| Enumeration Date | 2007-06-06 | 
| Last Update Date | 2020-08-22 |