| NPI | 1992531750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL TELLERIA President 305-205-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |