| NPI | 1932686334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICO MIGUEL ALMAZAN VISPERAS Owner 862-520-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00323600) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-12-17 |