| 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 |