| NPI | 1093543639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO DANIEL SUAREZ MOSQUERA Certified Surgical First Assistant 786-707-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-25 |