| NPI | 1790117752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO CHRISTOPHER RIVERO President 305-333-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6672) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL PA9102542) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9102542) | |
| 204R00000X Electrodiagnostic Medicine (Licence: FL ME97569) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL ME97569) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME56376) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9102542) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2016-01-14 |