| NPI | 1790070266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN J MEDINA President 787-753-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PR 11756) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-04-30 |