| NPI | 1265218291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO E LOPEZ Owner 786-547-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |