| NPI | 1285777326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO CORICA GUINLE Administrator 787-866-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 14585) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-11-24 |