| NPI | 1821470857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS CARRION RIOS President 787-285-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 4337) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |