| NPI | 1326300328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS JUAN LOPEZ President 305-270-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME 93502) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-19 |