| NPI | 1710125158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO A TORRES Presidente 787-817-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 115) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |