| NPI | 1861741894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALMONTE President 646-373-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME 104086) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |