| NPI | 1184542029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VICTORIA TELLEZ ALVAREZ Owner 786-660-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |