| NPI | 1093197329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL S GRILLO President 305-563-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL ME66588) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |