| NPI | 1174873244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GUILLERMO RAMIREZ BRACHO Owner 305-403-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME107667) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME107667) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |