Organization
SAN LOTANO HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO J DIAZ IGLESIAS (PRESIDENT)
(786) 641-5972
Entity
Organization
Contact information
Practice address
8500 SW 8TH ST STE 220, MIAMI, FL 33144-4002
(786) 641-5972
Mailing address
8500 SW 8TH ST STE 220, MIAMI, FL 33144-4002
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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