| NPI | 1962859066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVANNA VAZQUEZ PAGAN President 787-403-7918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: PR 10070) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |