| NPI | 1962974576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECA LAGUNA Admin/Billing Manager 442-600-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 208M00000X Hospitalist |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2022-03-24 |