NPI | 1124252101 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS ALBERTO GONZALEZ BERDECIA President 787-813-2324 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2009-05-06 |
Last Update Date | 2009-05-06 |