| NPI | 1144362807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO C PALMER MELLOWES Adminstrator 787-215-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-07-21 |