| NPI | 1275408494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL RIVERA GONZALEZ President 939-529-8179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |