| 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 |