| NPI | 1578172771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MORALES VP Of Regulatory Affairs 787-641-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |