| NPI | 1467335463 |
|---|---|
| Doing Business As | CLINICA UNIVERSO LATINO |
| Entity Type | Organization |
| Authorized Contact | REYNOL RAMON POLANCO SORIANO Fnp 832-875-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |