| NPI | 1609296037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO CARLOS NIEVAS Owner/Authorized Agent 228-860-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 08451) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2015-06-09 |