| NPI | 1881978179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTOS THEOFILO DE LA PAZ President 305-229-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME30064) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |