| NPI | 1447991609 |
|---|---|
| Former Legal Business Name | CLINICA GUADALUPANA |
| Entity Type | Organization |
| Authorized Contact | ALFONSO VEGA Owner 888-449-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2022-04-04 |
| Last Update Date | 2022-04-04 |