| NPI | 1689893182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORBERTO BAEZ Presidente 787-805-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 13550) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-04-08 |