| NPI | 1912997768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA M PEREZ Executive Director 787-823-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: PR 57) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2014-05-01 |