| NPI | 1114119666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN A. COLON Director 787-739-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 136) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |