| NPI | 1801134978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO BAEZ AYALA Md Inte RN Al Medicine 939-717-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 15719) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-30 |