| NPI | 1497045256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS DAVID RIVERA Physician 787-209-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 15769) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |