| NPI | 1962732388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ALBERTO MANTILLA President 305-279-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME77038) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2021-06-29 |