NPI | 1073991568 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS FERNANDO ROA R PT 786-553-2002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL PT22682) |
Enumeration Date | 2015-05-15 |
Last Update Date | 2015-05-15 |