NPI | 1770219388 |
---|---|
Former Legal Business Name | CARLOS J FERNANDEZ CRUZ LLC |
Entity Type | Organization |
Authorized Contact | CARLOS J FERNANDEZ-CRUZ President 939-338-0793 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2022-07-26 |
Last Update Date | 2022-07-26 |