| NPI | 1881939809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO BALBUENA ORDONEZ President 772-224-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |