| NPI | 1942321658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALDEMAR R RIVERA Medical Director 787-846-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: PR 09f2484) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-06-10 |