| NPI | 1861150468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO SANTELLANA Authorized Official/Owner 210-447-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-10-03 |