NPI | 1508072208 |
---|---|
Former Legal Business Name | BASIC MEDICAL GROUP,INC |
Entity Type | Organization |
Authorized Contact | LUZ C. CASTELLANO Presidente 787-751-8758 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |