| NPI | 1194111211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ALVERO FERNANDEZ President 305-504-9783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-06-08 |