| NPI | 1487927810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIZA VIDAURRAZAGA Manager, Provider Relations 786-525-5405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2018-03-15 |