| NPI | 1730131285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO RUIZ President 305-646-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL HCC6877) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |