| NPI | 1134755044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMEL RODRIGUEZ Authorized Official 786-218-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |