| NPI | 1538546411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO L IBARRA Medical Doctor 305-285-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME42864) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |