| NPI | 1093863193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A RAVENTOS President 305-273-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL 585023-6) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-09-27 |