NPI | 1316169972 |
---|---|
Entity Type | Organization |
Authorized Contact | IVAN FRANCISCO GONZALEZ-CANCEL President 787-281-0451 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 9454) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |