| NPI | 1922402437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO J COLLAZO Doctor 787-844-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PR 6554) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: PR 6554) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |