| NPI | 1093539819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIOMARA M CABRERA Credentialing Manager 939-231-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |