| NPI | 1942446299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR TORRES Executive Director 939-940-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |