| NPI | 1629733530 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | VICTOR M DIAZ RODRIGUEZ Manager 786-399-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |