| NPI | 1124704507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIRELIS DE LA CRUZ HERNANDEZ Nurse Practitioner 786-351-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2025-02-24 |