| NPI | 1114503372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA KARINA PEREZ President 305-336-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 261Q00000X Clinic/Center | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-20 |