| NPI | 1992256572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULEXIS RODRIGUEZ PORTAL Owner 305-456-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound (Licence: FL ME86719) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography (Licence: FL ARDMS142041) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-04-04 |