| NPI | 1730290396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL PABLO RIVERA Physician 504-888-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 07271R) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-09-11 |