| NPI | 1932144128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E. BARRUELO President/Owner 305-541-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC6928) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |