NPI | 1457328312 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS RAUL SANTIAGO-PAGAN President 787-991-1325 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 12782) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2008-12-17 |