NPI | 1285916015 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIO CESAR REYES-GAVILAN Owner 786-246-7289 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME121514) |
Enumeration Date | 2011-09-19 |
Last Update Date | 2023-07-20 |