| NPI | 1922594282 |
|---|---|
| Former Legal Business Name | PREVENTIVE MEDICAL ALLIANCE INC |
| Entity Type | Organization |
| Authorized Contact | HIRAM JOSUE ORTEGA President 787-431-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: PR 14432) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |