| NPI | 1124467717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANELA DE LA PORTILLA President/Medical Director 305-631-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2014-09-11 |