| NPI | 1891984688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO J ORTEGA Sole Proprietor 505-833-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NM 81-280) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2023-03-07 |