| NPI | 1891468419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHONSUA ALBERTO JIMENEZ ARIAS Owner/Authorized Official 862-600-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |