| NPI | 1407091069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNA VIVIANA PORTILLA President 786-547-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 562061-3) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |