| NPI | 1396144705 |
|---|---|
| Doing Business As | CENTRO DE DIALISIS SAN MIGUEL ARCANGEL LLC |
| Entity Type | Organization |
| Authorized Contact | LILLIAN BORREGO Medical Director 972-594-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |