NPI | 1053667527 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN J LOPEZ Billing Agent 305-251-3991 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0064851) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2012-08-02 |