| NPI | 1962939603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL MARTINEZ President 305-720-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL ARNP9359160) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |