| NPI | 1942041751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL AYMERICH FABRA Owner 786-534-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2025-03-04 |