| NPI | 1740645621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE NELSON RIVERO BECERRA Owner 917-595-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD441214) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |