| NPI | 1316104748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELFIN GINES MARTINEZ President 787-750-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 7628) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |