| NPI | 1568733913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE DE LA VEGA Owner/Doctor 575-521-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NM 9031) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |