| NPI | 1770910911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELA C JAQUEZ-GUTIERREZ President 305-392-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL me 70979) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |