| NPI | 1497191563 |
|---|---|
| Former Legal Business Name | MANUEL LOPEZ DIAZ MD |
| Entity Type | Organization |
| Authorized Contact | MANUEL LOPEZ DIAZ President 305-477-4475 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL 8690) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |