| NPI | 1215379284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO RUBIO Owner 575-524-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-09-03 |