| NPI | 1285979633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA A JOSE Resident Agent 787-284-6934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 11906) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |