| NPI | 1073639852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURA GRISELLE DE LA TORRE President 305-371-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL 602900-3) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |