| 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 |