| NPI | 1083300289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORESTES MEDEROS TRUJILLO Owner 786-553-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |