| NPI | 1790910982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO GONZALEZ-HERNANDEZ Managing Partner 786-270-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-06-09 |