| NPI | 1265860795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMILET LOPEZ President 787-562-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 331348) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |