| NPI | 1811136773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENIO LUIS PRIETO Sole Managing Member 772-581-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80380) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2021-07-16 |