| NPI | 1962709964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MORINGLANE President 787-747-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 13537) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |