| NPI | 1578849600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRMARIE CABAN SOTO Medical Doctor 939-644-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 14330) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |