| NPI | 1659785673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER MARQUEZ President 787-410-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 17272) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-07-16 |