NPI | 1104011832 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARDO I VALENTIN President 787-740-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 8183) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2012-05-23 |