| NPI | 1437248754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ANDRES VIZCARRA President 772-589-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 931719) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |