| NPI | 1134235807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALEJANDRO GOMEZ-RIVERA Physician/Owner 305-270-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS6658) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-07-13 |