| NPI | 1760753792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSBANY ALFONSO P 786-975-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA62724) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |