| NPI | 1649881434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ARNALDO RIVERA President 251-901-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2026-05-14 |