| NPI | 1689969958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL RICK MARTINEZ Owner 505-553-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0106X Radiologic Technologist Vascular-Interventional Technology (Licence: NM ARDMS123249) |
| Additional Taxonomies | 246XC2903X Specialist/Technologist Cardiovascular Vascular Specialist (Licence: NM ARDMS123249) |
| 2471S1302X Radiologic Technologist Sonography (Licence: NM ARDMS123249) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |