| NPI | 1164898276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL E PEDRAZA Presidente 786-657-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-20 |