| NPI | 1790929156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CARTAYA President 305-261-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME 84866) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME 84866) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |