| NPI | 1114126372 |
|---|---|
| Doing Business As | CONSULTORIO MEDICO LATINO |
| Entity Type | Organization |
| Authorized Contact | ANDRES J ARIAS Owner 843-553-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 22122) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2010-07-12 |