| NPI | 1326250549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE V ALVARADO RIVERA Owner 718-565-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 238007-1) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 231684-1) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-08-13 |