| NPI | 1598090987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D HEAL President 787-845-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 11271) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2013-10-01 |