| NPI | 1275778003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A RODRIGUEZ SERRANO Presidente 939-940-8715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: PR 183250) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |