| NPI | 1043418247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIXSA GONZALEZ Administrator 787-835-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 10129) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-09-19 |