NPI | 1376655902 |
---|---|
Entity Type | Organization |
Authorized Contact | WILFREDO GONZALEZ President 305-957-0017 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 506207-2) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |