| NPI | 1770831422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO MEANSA President 787-781-4379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 2193) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |