| NPI | 1235879206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M ROBERTI GONZALEZ President 786-252-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-08-22 |