| NPI | 1003536095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONELIA FAJARDO President 305-722-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |