NPI | 1114305851 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN DIEGO ESTRADA CEO 786-882-2869 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-05-14 |
Last Update Date | 2024-02-06 |