| NPI | 1790922540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA V PORTILLA President 305-559-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 621928-1) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |