| NPI | 1790520310 | 
|---|---|
| Doing Business As | CGCMGT LLC | 
| Entity Type | Organization | 
| Authorized Contact | JOSE J VARGAS Presidente 787-778-5353  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 302R00000X Health Maintenance Organization | 
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services | 
| Enumeration Date | 2024-06-26 | 
| Last Update Date | 2024-06-26 |