| NPI | 1063250694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONAISY ROSALES NARANJO President 305-648-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 207PS0010X Emergency Medicine, Sports Medicine | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1000X Clinic/Center, Migrant Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-05-21 |