| NPI | 1083964357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA MICHELLE MIRANDA TIRADO President 787-224-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 17265) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2020-06-25 |