| NPI | 1114500402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA VANESSA VICTORERO COO 305-266-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-02-27 |