| NPI | 1053295816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL KAOMA JIMENEZ ROVIRA Owner 939-373-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2026-07-09 |