| NPI | 1932427630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C LOPEZ DE VICTORIA RIVERA President 787-372-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 016783) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA MD429473) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-11-02 |