| NPI | 1013392778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA EDNA VILLANUEVA Clinic Social Worker 787-689-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 10647) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |