| NPI | 1023263266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN JULIO HERNANDEZ POMBO Administrator 786-970-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME84722) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |