NPI | 1104170646 |
---|---|
Doing Business As | RIO BRAVO MEDICAL HOME-BLISS |
Entity Type | Organization |
Authorized Contact | JOSE CRUZ-MELENDEZ Ubo Manager 915-742-8291 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2012-11-06 |
Last Update Date | 2013-01-07 |