| NPI | 1457598385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DELIA LEVISTE President 747-226-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A39016) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2026-08-31 |