| NPI | 1790053981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN RAMIREZ Manager 305-433-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL OSR807) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2020-07-30 |