{"id":2491,"date":"2025-10-30T08:23:24","date_gmt":"2025-10-30T08:23:24","guid":{"rendered":"https:\/\/cgogrupcreugroga.com\/especialitats\/unitat-de-metabolisme-mineral-i-ossi\/"},"modified":"2025-10-30T08:31:52","modified_gmt":"2025-10-30T08:31:52","slug":"unitat-de-metabolisme-mineral-i-ossi","status":"publish","type":"page","link":"https:\/\/cgogrupcreugroga.com\/es\/especialitats\/unitat-de-metabolisme-mineral-i-ossi\/","title":{"rendered":"Unidad de metabolismo mineral y \u00f3seo"},"content":{"rendered":"<div id='av_section_1'  class='avia-section av-av_section-20200e1c6f12513dfe2193c9b5694b5d main_color avia-section-small avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-2491'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_hr-3a876428eececa9d35452247ddb053af\">\n#top .hr.hr-invisible.av-av_hr-3a876428eececa9d35452247ddb053af{\nheight:50px;\n}\n<\/style>\n<div  class='hr av-av_hr-3a876428eececa9d35452247ddb053af hr-invisible  avia-builder-el-1  el_before_av_four_fifth  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<div  class='flex_column av-av_four_fifth-7714eba142aeda1f8b5272a3c372b279 av_four_fifth  avia-builder-el-2  el_after_av_hr  el_before_av_one_fifth  first flex_column_div  '     ><section  class='av_textblock_section av-mhd5kiqp-5325d2074c7f5f3b745ed14e6247293e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h4>ESPECIALIDADES M\u00c9DICAS \/ <strong> UNIDAD DE METABOLISMO MINERAL Y \u00d3SEO<\/strong><\/h4>\n<\/div><\/section><\/div><div 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class='wp-image-2487 avia-img-lazy-loading-not-2487 avia_image ' src=\"https:\/\/cgogrupcreugroga.com\/wp-content\/uploads\/2025\/10\/UnitatMMO_600x500.png\" alt='' title='UnitatMMO_600x500'  height=\"500\" width=\"600\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/cgogrupcreugroga.com\/wp-content\/uploads\/2025\/10\/UnitatMMO_600x500.png 600w, https:\/\/cgogrupcreugroga.com\/wp-content\/uploads\/2025\/10\/UnitatMMO_600x500-300x250.png 300w, https:\/\/cgogrupcreugroga.com\/wp-content\/uploads\/2025\/10\/UnitatMMO_600x500-216x180.png 216w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/div><\/div><\/div><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_section-d5c736b69ee498a64e9d9dbb98e66436\">\n.avia-section.av-av_section-d5c736b69ee498a64e9d9dbb98e66436{\nbackground-color:#0691a0;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_4'  class='avia-section 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flex_column_table_cell av-equal-height-column av-align-middle  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mhd5mz8r-2d5ff56ea10f80156c4635956195e8c6\">\n#top .av-special-heading.av-mhd5mz8r-2d5ff56ea10f80156c4635956195e8c6{\npadding-bottom:10px;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-mhd5mz8r-2d5ff56ea10f80156c4635956195e8c6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mhd5mz8r-2d5ff56ea10f80156c4635956195e8c6 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-mhd5mz8r-2d5ff56ea10f80156c4635956195e8c6 .av-subheading{\nfont-size:24px;\n}\n<\/style>\n<div  class='av-special-heading av-mhd5mz8r-2d5ff56ea10f80156c4635956195e8c6 av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-15  avia-builder-el-no-sibling  av-linked-heading'><div class='av_custom_color av-subheading av-subheading_above'><p style=\"color: black;\">UNIDAD DE METABOLISMO MINERAL Y \u00d3SEO<\/p>\n<\/div><h3 class='av-special-heading-tag '  itemprop=\"headline\"  ><a class=\"av-heading-link\" href=\"https:\/\/cgogrupcreugroga.com\/es\/cuadro-medico-detalle\/dr-malouf-jorge\/\" >Dr. Malouf, Jorge<\/a><\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><div class='av-flex-placeholder'><\/div><div  class='flex_column av-av_two_fifth-f1c518e9ff58e869f80c8f093487abc9 av_two_fifth  avia-builder-el-16  el_after_av_two_fifth  avia-builder-el-last  flex_column_table_cell av-equal-height-column av-align-middle  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_font_icon-9887102de0368f212ba036cf1b4d8b72\">\n.av_font_icon.av-av_font_icon-9887102de0368f212ba036cf1b4d8b72{\ncolor:#ffffff;\nborder-color:#ffffff;\n}\n.avia-svg-icon.av-av_font_icon-9887102de0368f212ba036cf1b4d8b72 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avia-button-center  avia-builder-el-19  el_after_av_hr  avia-builder-el-last '>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mhd5tcn4-b2e88ba4ce232f1d1d41c262066147da\">\n#top #wrap_all .avia-button.av-mhd5tcn4-b2e88ba4ce232f1d1d41c262066147da:hover{\nbackground-color:white;\ntransition:all 0.4s ease-in-out;\n}\n<\/style>\n<a href='https:\/\/cgogrupcreugroga.com\/es\/directory-cuadro_medic\/' class='avia-color-white avia-font-color-white avia-button avia-button-fullwidth av-mhd5tcn4-b2e88ba4ce232f1d1d41c262066147da avia-icon_select-no avia-color-white'   aria-label=\"CONSULTA EL CUADRO M\u00c9DICO\"><span class='avia_iconbox_title' >CONSULTA EL CUADRO M\u00c9DICO<\/span><\/a><\/div><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_5'  class='avia-section av-av_section-05206848b078a6f0d4e991b4f556c241 main_color avia-section-large avia-no-border-styling  avia-builder-el-20  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-2491'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-av_one_full-7714eba142aeda1f8b5272a3c372b279 av_one_full  avia-builder-el-21  avia-builder-el-no-sibling  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mhd5nvj4-a10602c370dcba18a4d7a7202d0e4e46\">\n#top .av_textblock_section.av-mhd5nvj4-a10602c370dcba18a4d7a7202d0e4e46 .avia_textblock{\ncolumn-count:2;\n}\n\n@media only screen and (max-width: 767px){ \n#top .av_textblock_section.av-mhd5nvj4-a10602c370dcba18a4d7a7202d0e4e46 .avia_textblock{\ncolumn-count:1;\n}\n.av_textblock_section.av-mhd5nvj4-a10602c370dcba18a4d7a7202d0e4e46 .avia_textblock.av_multi_colums > p:first-child{\nmargin-top:0.85em;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mhd5nvj4-a10602c370dcba18a4d7a7202d0e4e46 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_multi_colums'  itemprop=\"text\" ><p>La Unidad de Metabolismo Mineral y Ossi es un servicio especializado en el diagn\u00f3stico, tratamiento y seguimiento de trastornos relacionados con el metabolismo de los minerales y la salud \u00f3sea. Esta unidad <strong>aborda principalmente patolog\u00edas como la osteoporosis, el raquitismo, la osteomalacia, y otras enfermedades que afectan a la densidad y estructura \u00f3sea, as\u00ed como desequilibrios en los niveles de calcio, f\u00f3sforo y vitamina D.<\/strong> Tambi\u00e9n trata <strong>condiciones metab\u00f3licas relacionadas con las gl\u00e1ndulas paratiroides y otras disfunciones endocrinas que pueden comprometer la salud de los huesos<\/strong>. El objetivo es prevenir fracturas y mantener la calidad de vida del paciente.<\/p>\n<p>Estas alteraciones se pueden manifestar de diversas formas:<\/p>\n<p><strong>1. Alteraciones del Metabolismo Osis y Mineral Asociadas a la Enfermedad Renal Cr\u00f3nica (CKD-MBD):<\/strong> Estas alteraciones afectan m\u00e1s all\u00e1 del hueso e incluyen el sistema cardiovascular. Empiezan en los primeros estadios de la enfermedad renal cr\u00f3nica (ERC) y se manifiestan de diversas maneras:<br \/>\n\u2022 Anormalidades en calcio, f\u00f3sforo, hormona paratiroidea (PTH), vitamina D y Fibroblast Growth Factor (FGF).<br \/>\n\u2022 Cambios en el remodelado, mineralizaci\u00f3n, volumen, crecimiento o fragilidad del esqueleto.<br \/>\n\u2022 Calcificaciones cardiovasculares u otros tejidos blandos.<\/p>\n<p><strong>2. Sistema biol\u00f3gico FGF-23\/Klotho:<\/strong> El FGF-23 y su receptor FGFR1 desempe\u00f1an un papel crucial en el metabolismo mineral y \u00f3seo. Estas mol\u00e9culas est\u00e1n relacionadas con la morbimortalidad cardiovascular en pacientes con ERC.<\/p>\n<p><strong>3. Osteodistrofia Renal:<\/strong> Es una complicaci\u00f3n com\u00fan en pacientes con enfermedad renal cr\u00f3nica (ERC). Incluye:<br \/>\n\u2022 Oste\u00edtis fibrosa qu\u00edstica: Resulta del hiperparatiroidismo secundario y se caracteriza por la reabsorci\u00f3n \u00f3sea excesiva.<br \/>\n\u2022 Osteomalacia: Deficiencia de vitamina D que afecta a la mineralizaci\u00f3n \u00f3sea.<br \/>\n\u2022 Osteosclerosis: Exceso de remodelado \u00f3seo con formaci\u00f3n de hueso denso y fr\u00e1gil.<\/p>\n<p><strong>4. Fracturas:<\/strong> Los pacientes con ERC tienen mayor riesgo de fracturas debido a la alteraci\u00f3n del metabolismo mineral y la calidad \u00f3sea<\/p>\n<p><strong>5. Osteomalacia:<\/strong> Se caracteriza por una baja actividad celular peritrabecular, acumulaci\u00f3n de osteoide en espesor y extensi\u00f3n, y ausencia de osteoblastos adyacentes.<\/p>\n<p><strong>6. Hipofosfatem\u00eda hereditaria:<\/strong> Mutaciones en genes como PHEX, DMP1 o ENPP1 pueden causar hipofosfatem\u00eda ligada a X o hipofosfatem\u00eda recesiva autos\u00f3mica.<\/p>\n<p><strong>7. Osteoporosis:<\/strong><br \/>\n\u2022 Osteoporosis primaria (Tipo I o postmenop\u00e1usica): M\u00e1s com\u00fan en mujeres postmenop\u00e1usicas. Se caracteriza por huesos debilitados y fracturas,<br \/>\nespecialmente en mu\u00f1ecas y columna vertebral.<br \/>\n\u2022 Osteoporosis secundaria (Tipo II o senil): Desarrollada despu\u00e9s de los 70 a\u00f1os. Afecta principalmente a cadera y columna vertebral.<\/p>\n<p><strong>8. Enfermedad \u00f3sea de Paget:<\/strong><br \/>\n\u2022 Interfiere con el reciclaje natural del tejido \u00f3seo, causando deformidades y fragilidad en huesos. Puede afectar a pelvis, cr\u00e1neo, columna vertebral y piernas.<\/p>\n<p><strong>9. Hiperparatiroidismo:<\/strong><br \/>\n\u2022 Hiperparatiroidismo primario: Gl\u00e1ndulas paratiroides hiperactivas producen exceso de hormona paratiroidea. Eleva los niveles de calcio en la sangre.<br \/>\n\u2022 Hiperparatiroidismo secundario: causado por otras enfermedades o tratamientos que afectan a los niveles de calcio.<\/p>\n<p><strong>10. Hipoparatiroidismo:<\/strong><br \/>\n\u2022 Baja producci\u00f3n de hormona paratiroidea. Resulta en niveles bajos de calcio y aumento de f\u00f3sforo en sangre. S\u00edntomas incluyen espasmos musculares, debilidad y hormigueo.<\/p>\n<p><strong>11. Pseudohipoparatiroidismo:<\/strong><br \/>\n\u2022 Resistencia a la hormona paratiroidea. Puede causar hipocalcemia y s\u00edntomas similares al hipoparatiroidismo.<\/p>\n<p><strong>12. Alteraciones minerales relacionadas con cirug\u00eda bari\u00e1trica:<\/strong><br \/>\n\u2022 La cirug\u00eda bari\u00e1trica puede afectar a la absorci\u00f3n de calcio y vitamina D, aumentando el riesgo de osteoporosis.<\/p>\n<p><strong>Causas de osteoporosis secundaria:<\/strong><\/p>\n<p><strong>13. Enfermedades Endocrinas:<\/strong><br \/>\n\u2022 Hipertiroidismo: Aumento de la actividad tiroidea que puede afectar a la densidad \u00f3sea.<br \/>\n\u2022 Hiperparatiroidismo: Exceso de hormona paratiroidea, que puede provocar resorci\u00f3n \u00f3sea.<br \/>\n\u2022 Hipogonadismo: Disminuci\u00f3n de hormonas sexuales (testosterona a hombres, estr\u00f3genos en mujeres).<\/p>\n<p><strong>14. Enfermedades gastrointestinales:<\/strong><br \/>\n\u2022 Cirug\u00eda Bari\u00e1trica: Puede afectar a la absorci\u00f3n de calcio y vitamina D.<br \/>\n\u2022 Enfermedad cel\u00edaca: altera la absorci\u00f3n de nutrientes esenciales.<\/p>\n<p><strong>15. Enfermedades Inflamatorias Cr\u00f3nicas:<\/strong><br \/>\n\u2022 Ejemplos: Artritis reumatoide, enfermedad inflamatoria intestinal.<br \/>\n\u2022 La inflamaci\u00f3n cr\u00f3nica puede afectar a la salud \u00f3sea.<\/p>\n<p><strong>16. Enfermedad Renal Cr\u00f3nica:<\/strong><br \/>\n\u2022 Antecedentes de c\u00e1lculos renales o disfunci\u00f3n renal.<br \/>\n\u2022 Altera el equilibrio de minerales en el cuerpo.<\/p>\n<p><strong>17. Uso de Medicamentos:<\/strong><br \/>\n\u2022 Corticosteroides: Uso prolongado puede debilitar los huesos.<br \/>\n\u2022 Anticomiciales: Los anticomiciales se metabolizan en el h\u00edgado e interfieren con la hidroxilaci\u00f3n del colecalciferol (vitamina D).<br \/>\n\u2022 IBP: Los inhibidores de bomba de protones, a largo plazo, inhiben la absorci\u00f3n del calcio.<br \/>\n\u2022 Anticoagulantes: En dosis mayores de 15.000 unidades\/d\u00eda, la heparina debilita la estructura \u00f3sea. El mecanismo por el que la heparina induce osteoporosis no est\u00e1 claro. El efecto parece ser multifactorial. Los anticoagulantes orales act\u00faan inhibiendo la gammacarboxilaci\u00f3n de los factores vitamina K dependiente de la coagulaci\u00f3n, factores II, VII, IX y X3. De esta forma los factores de coagulaci\u00f3n no gammacarboxilatos son incapaces unirse al calcio, y no pueden participar en la cascada de la coagulaci\u00f3n. De forma similar, los anticoagulantes orales inhiben la gammacarboxilaci\u00f3n de la osteocalcina, e igualmente la osteocalcina no carboxilada no puede unirse al calcio.<br \/>\n\u2022 Agentes inmunosupresores: ciclosporina en y azatioprina. In vitro, la ciclosporina A (CsA) sobre los osteoblastos humanos tiene un efecto inhibitorio sobre la interleucina (IL)-1, sobre cultivo de osteoclastos inhibe la resorci\u00f3n inducida por la parathormona (PTH), 1,25 (OH)2 D , y PGE2, y sobre cultivos mixtos se ha visto que puede inhibir la resorci\u00f3n a trav\u00e9s de la v\u00eda del \u00f3xido n\u00edtrico. Sin embargo, in vivo gran cantidad de datos sugieren que la CsA tiene efecto adverso sobre el hueso. Hay evidencia de que la CsA puede aumentar el turno \u00f3seo tanto en humanos como en ratas, es decir, un aumento tanto de la resorci\u00f3n como de la formaci\u00f3n \u00f3sea, provocando una osteoporosis de alto repuesto \u00f3seo. Adem\u00e1s, la CsA aumenta la actividad 1\u2033- hidroxilasa, aumentando los niveles de 1,25(OH) 2D de forma dosisdependiente. Asimismo, la calcitonina como agente antiresortivo previene la p\u00e9rdida \u00f3sea inducida por la CsA en ratas.<br \/>\n\u2022 Tratamientos sustitutivos con hormona tiroidea: El tratamiento con hormona tiroidea en dosis suprafisiol\u00f3gicas provoca una p\u00e9rdida acelerada de hueso.<br \/>\n\u2022 Vitamina A y retinoides sint\u00e9ticos: La vitamina A en dosis altas puede aumentar la resorci\u00f3n \u00f3sea, provocando osteoporosis.<br \/>\n\u2022 Tratamiento antineopl\u00e1sico: La mayor\u00eda de los casos de osteoporosis a pacientes bajo tratamiento antitumoral se deben al hipogonadismo secundario, a la quimioterapia y radioterapia o al tratamiento con glucocorticoides.<br \/>\n\u2022 Diur\u00e9ticos: Las tiazidas se utilizan en casos de litiasis renal e hipercalciuria, mejorando la densidad \u00f3sea. Los diur\u00e9ticos de asa tienen un efecto opuesto a las tiazidas sobre la excreci\u00f3n de calcio, ya que inhiben la reabsorci\u00f3n de calcio en el asa de Henle, aumentando las p\u00e9rdidas urinarias de calcio, efecto que se ha utilizado en el tratamiento de la hipercalcemia aguda.<\/p>\n<\/div><\/section><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_section-ad7066f8431dc93b3d4feda5b156a249\">\n.avia-section.av-av_section-ad7066f8431dc93b3d4feda5b156a249{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/cgogrupcreugroga.com\/wp-content\/uploads\/2022\/11\/FotoMetgeEspecialitat-2-HospitalClinicMaresme-scaled-1.jpg);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='av_section_6'  class='avia-section av-av_section-ad7066f8431dc93b3d4feda5b156a249 main_color avia-section-default avia-no-border-styling  avia-builder-el-23  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  data-section-bg-repeat='no-repeat'><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-2491'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-av_two_third-7714eba142aeda1f8b5272a3c372b279 av_two_third  avia-builder-el-24  el_before_av_one_third  avia-builder-el-first  first flex_column_div  '     ><\/div><div  class='flex_column av-av_one_third-f1c518e9ff58e869f80c8f093487abc9 av_one_third  avia-builder-el-25  el_after_av_two_third  avia-builder-el-last  flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_font_icon-ef3064538557f6c365f6ef478cc77b21\">\n.av_font_icon.av-av_font_icon-ef3064538557f6c365f6ef478cc77b21{\ncolor:#ffffff;\nborder-color:#ffffff;\n}\n.avia-svg-icon.av-av_font_icon-ef3064538557f6c365f6ef478cc77b21 svg:first-child{\nstroke:#ffffff;\nfill:#ffffff;\n}\n.av_font_icon.av-av_font_icon-ef3064538557f6c365f6ef478cc77b21 .av-icon-char{\nfont-size:60px;\nline-height:60px;\n}\n<\/style>\n<span  class='av_font_icon av-av_font_icon-ef3064538557f6c365f6ef478cc77b21 avia_animate_when_visible av-icon-style- avia-icon-pos-center avia-iconfont avia-font-flaticon avia-icon-animate'><span class='av-icon-char' data-av_icon='\uf11b' data-av_iconfont='flaticon' aria-hidden=\"true\" ><\/span><\/span><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_hr-82f5be0ae0af6a64fe3091010b237709\">\n#top .hr.hr-invisible.av-av_hr-82f5be0ae0af6a64fe3091010b237709{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-av_hr-82f5be0ae0af6a64fe3091010b237709 hr-invisible  avia-builder-el-27  el_after_av_font_icon  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mhd5txk6-c8aeed3e408d791b1275398b4582b39a\">\n#top .av_textblock_section.av-mhd5txk6-c8aeed3e408d791b1275398b4582b39a .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-mhd5txk6-c8aeed3e408d791b1275398b4582b39a '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><h2 style=\"text-align: center;\">Consulta nuestro cuadro m\u00e9dico<\/h2>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_hr-82f5be0ae0af6a64fe3091010b237709\">\n#top .hr.hr-invisible.av-av_hr-82f5be0ae0af6a64fe3091010b237709{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-av_hr-82f5be0ae0af6a64fe3091010b237709 hr-invisible  avia-builder-el-29  el_after_av_textblock  el_before_av_button_big  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<div  class='avia-button-wrap avia-button-center  avia-builder-el-30  el_after_av_hr  avia-builder-el-last '><a href='https:\/\/cgogrupcreugroga.com\/es\/directory-cuadro_medic\/' class='avia-color-light avia-font-color-white avia-button avia-button-fullwidth av-mhd5ubbr-4d1ad417622558336c9e703452997a33 avia-icon_select-no avia-color-light'   aria-label=\"CONSULTAR\"><span class='avia_iconbox_title' >CONSULTAR<\/span><span class='avia_button_background avia-button avia-button-fullwidth avia-color-light'><\/span><\/a><\/div><\/p><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":1054,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2491","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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