| 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 |