| NPI | 1528022100 |
|---|---|
| Former Legal Business Name | RIO GRANDE DIAGNOSTIC CSP |
| Entity Type | Organization |
| Authorized Contact | ANGEL AYRA President 787-247-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |