| 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 |