| NPI | 1942674890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTO LEANDRO MINAYA CORREA President 203-553-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2016-06-27 |