| NPI | 1972959799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE E FRIAS ESPINOSA Owner 786-355-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2024-05-03 |