| NPI | 1174823751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUVENAL E MARTINEZ President 305-598-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL 40592) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2024-05-07 |