| NPI | 1518248400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILVER PEREZ President 787-892-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 016179) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |