| NPI | 1568768042 |
|---|---|
| Doing Business As | CLINICA LA ESPERANZA |
| Entity Type | Organization |
| Authorized Contact | OLENA DZIUBA CFO 505-573-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NM 6556) |
| 207Q00000X Family Medicine | |
| 363AM0700X Physician Assistant, Medical (Licence: NM PA20030032) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2015-01-19 |