| NPI | 1255767927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON SANTIAGO Vice President 786-801-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261Q00000X (Licence: FL ME17400) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2015-03-26 |