| NPI | 1184643215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIN RIVERO President 786-380-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |