| NPI | 1093013799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO LUCIO CARRILLO Owner/Physician 305-824-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 52900) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |