| NPI | 1962905729 |
|---|---|
| Doing Business As | E M A MED SERV CSP |
| Entity Type | Organization |
| Authorized Contact | LUIS A MELENDEZ GOMEZ Md 939-642-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2018-03-17 |