| NPI | 1861051591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE CINTRON-CUBERO Owner/President 704-497-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |