| NPI | 1174873244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS G RAMIREZ BRACHO Owner/President 917-216-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME107667) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME107667) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2026-02-05 |