| NPI | 1609734474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO RENIER PEREZ SUAREZ Owner 918-410-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-03-09 |