NPI | 1386154029 |
---|---|
Former Legal Business Name | PRO MEDICAL INSTITUTE |
Entity Type | Organization |
Authorized Contact | FAUSTO PENA CASTILLO President 786-499-6521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2017-10-09 |
Last Update Date | 2017-10-09 |