| NPI | 1477201036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M OLAVARRIA INFANTE Principal Officer 939-630-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2023-08-21 |