| NPI | 1922801778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANRIQUE GUERRERO Owner 786-435-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0127X Surgery Trauma Surgery | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-06-10 |