NPI | 1922211044 |
---|---|
Entity Type | Organization |
Authorized Contact | RAUL A PORRO President 787-621-0590 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 305R00000X) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |