| NPI | 1144547399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNY GONZALEZ Owner 305-856-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME106001) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2012-05-10 |