| NPI | 1962694547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MARQUES BIBILONI Medico 787-728-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 10042) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |