Organization
GR & Y, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JHOAN R RIVAS MA (OWNER)
(305) 710-3606
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 240U, HIALEAH, FL 33012-4665
(305) 710-3606
Mailing address
3750 W 16TH AVE STE 240U, HIALEAH, FL 33012-4665
(305) 710-3606
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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