| NPI | 1821343286 |
|---|---|
| Other Name | JOSEPH R. PEREA, MD |
| Entity Type | Organization |
| Authorized Contact | JOSEPH RUBEN PEREA President 505-883-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: NM NM8079) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |