| NPI | 1871947861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR LUIS CUADROS Managing Member 505-243-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM 88-146) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2016-04-16 |