| NPI | 1174122337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EULOGIO EMILIANO BENITEZ President 786-474-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |