| NPI | 1780984377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS DIAZ Owner 786-955-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2014-06-04 |