| NPI | 1124639158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL FERRER President 786-426-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-04-16 |