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Specialty details in registry · Chapala, JALISCO

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At a glance

Hidalgo 248 A, Chapala, JALISCO 45906

NPPES record updated Feb 28, 2026. Public records can lag behind changes at a practice.

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Practice location

Hidalgo 248 A San Antonio Tlayacapan
Chapala, JALISCO 45906
Professional details: NPI, taxonomy & registry record
NPI1861988982
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
246RM2200X
Enumeration date
Jul 2, 2018
Record updated
Feb 28, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

246RM2200X · Primary

License reported: CP4876548 ZZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

Hidalgo 248 A
San Antonio Tlayacapan
Chapala, JALISCO 45906
Phone
(888) 449-7799
Mailing address
HIDALGO 248 A
SAN ANTONIO TLAYACAPAN
CHAPALA, JALISCO 45906
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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