| NPI | 1124132121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL AMUNATEGUI Physician 305-931-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME73972) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |