| NPI | 1689887804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA M PINO Administrator 305-412-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 299992260) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-02-07 |