| NPI | 1003338138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDEL QUINTERO President 305-424-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-03-19 |