| NPI | 1194798694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEIDA MAXIMA HERNANDEZ President 305-559-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME66407) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-22 |