| NPI | 1205134640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA MENDIZABAL PIEDRA Doctor 305-823-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME57754) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |