| NPI | 1982843165 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | DAVID COLON SANTIAGO President 787-460-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PR 219) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |