| NPI | 1598229890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIZA BEATRIZ VIDAURRAZAGA Sr. Provider Relations Specialist 786-624-2186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080I0007X Pediatrics Clinical & Laboratory Immunology |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |