| NPI | 1609266170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L. DE LA PEDRAJA President 305-441-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME77828) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |