| NPI | 1790142966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA RAMON-COTON President 305-827-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME 55880) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |