| NPI | 1932878121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERVIN SANCHEZ President 787-314-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 171400000X |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |