| NPI | 1255809067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME GABRIEL RODRIGUEZ General Physician 939-223-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2021-10-26 |