| NPI | 1578032447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL DEL RIO Owner/Provider 210-874-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2020-03-17 |