| NPI | 1306190707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE IVAN MENDEZ President 939-969-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 17154) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2013-02-04 |