| NPI | 1083358378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWILDA ALTAGRACIA LUGO MENDEZ Managing Member 203-510-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2022-08-04 |