| NPI | 1578200564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO R GONZALEZ BALLAGAS Owner 786-630-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |