| NPI | 1073905634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES T RIVQAS CEO 305-921-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 15-) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2022-07-21 |