| NPI | 1750660619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS R. GARCIA Presidente 787-765-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 13628) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2012-09-10 |