| NPI | 1114056462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DE CASTRO CHUAPOCO President 702-501-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 11482) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |