| NPI | 1104148477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEAN A YAQUE President 305-446-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL MM 24375) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |