| NPI | 1952044554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIDIER LAZO GIL President 786-663-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-08-20 |