| NPI | 1376776625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO GARCIA RIVERA Medical Director/CEO 305-227-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME 40533) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |