| NPI | 1780804146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MARC CRUZ RUBIO Director Of Clinical Services 671-646-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GU 13200402127002) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GU 13200402127002) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GU 13200402127002) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |