| NPI | 1376704734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGETTE LOURDES RODRIGUEZ-VAZQUEZ Director 305-970-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL 95752) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2009-02-18 |