| NPI | 1184231581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES PRIMO GONZALEZ CEO 305-720-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| 133V00000X Dietitian, Registered | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics | |
| 2251G0304X Physical Therapist Geriatrics | |
| 2251S0007X Physical Therapist Sports | |
| 225XM0800X Occupational Therapist Mental Health | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-11-02 |