| NPI | 1558613026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVING R RESTITUYO Owner 774-992-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA 230970) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |