| NPI | 1134262272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTONIO GONZALEZ Administrator 787-692-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-04-08 |