| NPI | 1396158242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO BENGOA President 787-625-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 332068) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |