| NPI | 1093472557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNIEL REY DEL TORO President 305-912-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |