| NPI | 1962892034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO TEJERO Medical Doctor 305-598-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME47090) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |