| NPI | 1891108338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A. SALUP Owner 772-778-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME41732) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-07-28 |