| NPI | 1639439318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSVANY PENA President 786-380-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |