| NPI | 1902967110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO OTERO President 786-234-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL hcc6555) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |