| NPI | 1932764339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE FERNANDEZ Owner 786-486-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 246ZN0300X Specialist/Technologist, Other, Nephrology |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |