| NPI | 1447513882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEAN A YAQUE Owner 305-266-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL MM 29176) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |