| NPI | 1144241449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HIRAM CALLAZO Executive Director 939-969-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-08-08 |