| NPI | 1184416117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W BERRIOS Owner 844-362-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist | |
| Enumeration Date | 2025-05-17 |
| Last Update Date | 2025-09-05 |