| NPI | 1811285281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADO J PINERO Director Of Program Operations 305-345-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |