| NPI | 1629529359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO BURGOS-TIBURCIO Owner/President 305-261-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME104754) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |