| NPI | 1801621842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO A VALDES Owner 346-373-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |