| NPI | 1114186814 |
|---|---|
| Former Legal Business Name | LA PLATA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | VICTOR M BURGOS President 787-870-1272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 5589) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |