| NPI | 1760735591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ROLANDO FLORES Partner/Cfnp 505-200-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM R37352) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-12-10 |