| NPI | 1326428814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOBAL J GONZALEZ President 305-788-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL mh7884) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL mh7884) |
| 305R00000X Preferred Provider Organization (Licence: FL mh7884) | |
| 305S00000X Point of Service (Licence: FL mh7884) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |