| NPI | 1598294514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA RODRIGUEZ Physician & Owner 228-206-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23342) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |