| NPI | 1689819260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE DIETRICH-TRIGO Dentist 787-705-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 2179) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |