| NPI | 1962675702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO FRANCISCO RODRIGUEZ-MENENDEZ President 305-525-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL PY5490) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-07-30 |