| NPI | 1124645353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A AYES ARROJO President 786-705-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 251S00000X | |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2023-01-30 |