| NPI | 1194176834 |
|---|---|
| Other Name | LA CLINICA DEL PUEBLO HYATTSVILLE |
| Entity Type | Organization |
| Authorized Contact | ALVIN BACILIO Patient Revenue Manager 202-448-2845 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: DC 650001047) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-07-21 |