| NPI | 1295026623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS PANTOJA BELLO Authorized Official 786-353-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2025-08-14 |