| NPI | 1316367790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ROBERTO HERNANDEZ President 305-494-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL RCA10346) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |