| NPI | 1154934586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F MELENDEZ CEO 505-235-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-10-11 |