| NPI | 1801920954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE SANTOS President 305-969-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC 3991) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: FL HCC3991) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |