| NPI | 1013501113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN RODRIGUEZ Managing Member 786-897-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2026-06-09 |