| NPI | 1003292228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY JARAMILLO Health Services Admin 505-240-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM R46467) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |