| NPI | 1124646898 |
|---|---|
| Former Legal Business Name | PURA VIDA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NURY CARBAJAL CEO 305-874-3909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |