| NPI | 1275648925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDINO P ENRIQUEZ President 305-207-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-09-10 |