| NPI | 1720364904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR HERNANDEZ President 787-307-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 253Z00000X In Home Supportive Care | |
| 305R00000X Preferred Provider Organization | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2012-02-02 |