| NPI | 1467944553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE CRUZ Asistente Administrativa 787-374-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |