| NPI | 1174087290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUDEL GARCIA Md/Owner 786-985-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 202K00000X |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-04-12 |