| 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 |