| NPI | 1528075645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA R PEREZ-QUINTAIROS President 305-669-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME59703) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-03-03 |