| NPI | 1376180661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSMANY PAEZ Administrator 786-457-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |