| NPI | 1932681798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDELMIRO CARRILLO RODRIGUEZ Administrator 787-901-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-09-07 |