| NPI | 1750758009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL JAVIER DE JESUS President 939-639-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PR 14017) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |