| NPI | 1073904876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIELS MOLEIRO President 786-340-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: FL 054095) |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2019-06-25 |