| NPI | 1134152929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALY CONSUEGRA President 305-512-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |