| NPI | 1689066326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO O CALONGE Physician 305-856-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME89807) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-09-03 |