| NPI | 1174391700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO MOISES MARTIN President Of Center Operations 305-913-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |