| NPI | 1215273636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA J AVILES-VARGAS President 939-292-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: PR 109) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |