| NPI | 1124626494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA HURTADO President 786-498-9678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2025-03-12 |