| NPI | 1386184448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE F RIVERA GUERRERO Owner 917-543-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2011-0111) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2025-02-07 |