Clinica San Martin De Porres

NPI #1114166014 in Mcallen, Texas

Provider Information

NPI Number
1114166014
Entity Type
Organization
Organization Name
Clinica San Martin De Porres
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Feb 17, 2009
Last Updated
Mar 30, 2012

Practice Location

Address
6101 N 23RD ST
Address 2
SUITE F
State
Texas
ZIP Code
78504-3929
Phone
(956) 627-2752

Authorized Official

Name
DR. ABDIAS D ETIENNE, MD
Title
PRESIDENT
Phone
(917) 204-6110

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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