| NPI | 1003683624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORESTES ADRIAN HERNANDEZ President 786-838-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-06 |