| NPI | 1104089333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASTOR M TORRES President 305-688-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL 49643) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 49643) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2009-08-13 |