| NPI | 1174892715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAEL VEGA President 786-232-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM28290) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |