NPI | 1457498693 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE A RAMIREZ Owner Provider 786-457-8950 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X (Licence: FL ME86739) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME86739) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2025-10-06 |