| NPI | 1780861658 |
|---|---|
| Doing Business As | MULTI-SERVICES PROVIDER |
| Entity Type | Organization |
| Authorized Contact | RENATO RODRIGUEZ DUGENA LLC Chairman 917-319-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL d250736474120) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2023-09-06 |