| NPI | 1548986219 |
|---|---|
| Former Legal Business Name | INNOVANCE PULMONARY GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | REINALDO GONZALEZ MARTINEZ President 787-645-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |