| NPI | 1205416955 |
|---|---|
| Former Name | ROLANDO AGUSTIN FLEITES LLANIO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL F03211250) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |