| NPI | 1144842659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS BAEZ VALLECILLO Presidente 939-545-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-08-16 |