| NPI | 1689807653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL IGNACIO TANO President 305-649-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME46299) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |