| NPI | 1700993128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON COLON-DORDAL President 915-591-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J6911) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J6968) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |