| NPI | 1013684992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO GUEVARA CEO/Ambr 786-366-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-10-07 |