| 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 |