| NPI | 1083097281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO MONTPELLER ACOSTA President 786-304-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-08 |