| NPI | 1639578834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYTE RUIZ SANTIAGO President 305-200-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME121113) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2024-04-18 |