| NPI | 1710157052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANIVIS GONZALEZ CEO 305-562-4683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH 11547) |
| Additional Taxonomies | 251S00000X (Licence: FL 1-12-10380) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2013-09-23 |