| NPI | 1194563379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA URSULA HERNANDEZ MORAN President 305-562-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |