| NPI | 1548664105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYDIA M LOPEZ Owner 787-279-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 11254) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |