| 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 |