| NPI | 1043092539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUBALDO VASQUEZ Owner 786-535-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RR0500X Internal Medicine Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-07-17 |