| NPI | 1821785783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA RUIZ Owner 754-208-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2024-01-09 |