| NPI | 1831390004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO C PALMER MELLOWES Administrator 787-215-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133N00000X Nutritionist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-10-31 |