| NPI | 1134631807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A HURTADO INFANTE President 786-278-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL me114897) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-10-25 |