| NPI | 1831450717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S. CAMPOS President 787-731-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: PR 13839) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2015-02-03 |