| NPI | 1184013450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A QUERAL Medical Provider 786-442-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME118298) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |