NPI | 1518623164 |
---|---|
Entity Type | Organization |
Authorized Contact | RENE DAVID SIFONTES MEJIAS Owner 786-317-7495 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2021-11-09 |
Last Update Date | 2021-11-09 |