| NPI | 1992719892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO ORTIZ BURGOS President 305-595-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0074952) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |