| NPI | 1639708589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YALEXA ZURIARRAIN Manager 786-804-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |