| NPI | 1285920363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN A DIAZ COTELO Manager 786-474-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105957) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-09-26 |