| NPI | 1447457023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORYANA RUIZ BALBUENA Owner 305-642-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL MA 48569) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |