| NPI | 1679106363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C RIVERON Owner 305-381-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |