| NPI | 1548668908 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELESDANIA MALDONADO SANZ President/Technician 786-285-9502  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL 147114)  | 
| Enumeration Date | 2014-12-16 | 
| Last Update Date | 2014-12-16 |