| NPI | 1487090130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME LEDESMA Presidente 939-202-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 16663) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |