| NPI | 1053641233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME GABRIEL GUTIERREZ President 305-763-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME98062) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME98062) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME98062) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-22 |