| NPI | 1124498308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A ALTAMIRANO Owner 786-600-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME113540) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |