| NPI | 1013501113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN RODRIGUEZ Managing Member 786-897-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-10-05 |