| NPI | 1023566312 |
|---|---|
| Doing Business As | LAVITTA DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA JULISSA MARTINEZ President 939-325-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |