| NPI | 1114477999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL F MONTALVO President 787-622-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2026-01-09 |