| NPI | 1396930152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO A NIEVES President 575-628-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NM 2000325) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-06-17 |