| NPI | 1619277613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA GUTIERREZ Secretary 305-225-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |