| NPI | 1083163596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE RODRIGUEZ Member 1787-626-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 6248) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 792) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |