| NPI | 1770731259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE M. PAGAN President 787-756-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 1865) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |