| NPI | 1992036974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ARIEL SANTOS AMEZAGA Data Analyst 787-862-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |