| NPI | 1609863398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO ANTONIO ROMAGOSA Managing Member 772-220-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME85844) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2009-03-13 |