| NPI | 1003504531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIANE VILLALVAZO-GONZALEZ Managing Member 786-348-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-25 |