| NPI | 1346847738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS LEZCANO GARCIA President/Owner 305-502-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2023-03-16 |