| NPI | 1629475447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTO PENA CASTILLO President 786-616-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME17657) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |