| NPI | 1144556119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALBERTO PEREZ VILA President 305-444-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL Me62009) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2010-06-01 |