| NPI | 1346491776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS R ROBLES President 787-215-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 13215) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |