| NPI | 1831880897 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ERNESTO JIMENEZ PEREZ Ambr 786-409-5618 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy | 
| Additional Taxonomies | 208D00000X General Practice | 
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-05-18 | 
| Last Update Date | 2025-01-06 |