| NPI | 1215202726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA LLAMPAY MEIJIDES Owner 786-779-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-09-28 |