Total Outcomes Partners LLC is based in Puerto Rico to primarily provide expert consulting and services to the clinical research ecosystem (Investigators-Patients-Sponsors). This includes the development and strengthening of clinical research centers of excellence, facilitate subjects and patients access to new clinical trials, and align the needs of Sponsors and Clinical Research Organizations with sites with the experience and access to the appropriate patient population. Clinical Research Centers of Excellence are characterized by being patient-centric, exceeding the industry's standards in quality, regulatory, staffing, and performance in clinical studies. '