| NPI | 1932400900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LEOBARDO DIAZ President 305-335-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2011-08-25 |