| NPI | 1174878078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA I. LOPEZ Owner 305-412-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0063157) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2015-08-13 |