| NPI | 1609144757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALY GONZALEZ President 787-280-6986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 502-011) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |