LYNCH, Circuit Judge.
This appeal stems from a lawsuit filed on June 6, 2003 by three community health centers in Puerto Rico: Rio Grande Community Health Center, Inc. ("Rio Grande"), Concilio de Salud Integral de Loiza, Inc. ("Loiza"), and Dr. José S. Belaval, Inc. ("Belaval"). Belaval is the sole appellant in this action.
In their suit, the three health centers alleged that the defendant, the Secretary of the Department of Health of Puerto Rico,
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