| NPI | 1629027214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINERVA SANTO TOMAS Physician/ Owner 305-774-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL me 70314) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-11-20 |