| NPI | 1073706644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYLENE IVETTE PRATTS DIAZ Administrator 787-285-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2017-02-14 |