| NPI | 1609388453 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RENE CASANOVA Owner 786-953-4471 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL me78770) | 
| Enumeration Date | 2017-11-02 | 
| Last Update Date | 2017-11-02 |