| NPI | 1508308412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIBERTO SOTO-CORA Owner 915-591-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J0679) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |