| NPI | 1174980403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FUENTES Owner 305-824-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2016-01-17 |
| Last Update Date | 2016-01-17 |