NPI | 1770611220 |
---|---|
Other Name | CDT VILLA LOS SANTOS |
Entity Type | Organization |
Authorized Contact | ANGELA ROMAN Record Room Supervisor 1787-817-3144 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
208D00000X General Practice | |
261QA1903X Clinic/Center, Ambulatory Surgical | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2011-04-21 |