| NPI | 1295366292 |
|---|---|
| Doing Business As | CENTRO MEDICO SAN LUCAS |
| Entity Type | Organization |
| Authorized Contact | BYRON OSWALDO MATA GONZALEZ Owner 786-427-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |