| NPI | 1871469163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILENE ZOE BARRETO ESCOBAR Administrator 787-396-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |