| NPI | 1548711344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MANUEL RIVAS Medical Director /Owner 954-451-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME118726) |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2019-05-24 |