| NPI | 1407415607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO HERRERA Owner 786-803-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-04-03 |