| NPI | 1962670661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS A. AYALA Presidente 787-834-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2020-09-30 |