| NPI | 1760081640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR I CASTILLO President 305-456-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2022-03-06 |