| NPI | 1568745024 |
|---|---|
| Doing Business As | CASA SAN PIO |
| Entity Type | Organization |
| Authorized Contact | MELECIO G ABORDO Co Owner 606-693-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 34645) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2012-02-29 |