| NPI | 1912374182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE D HERNANDEZ VELEZ Presidenta 787-647-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PR 17158) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2016-08-11 |