| NPI | 1679974182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A QUERAL Medical Doctor 786-631-3763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL me118298) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |