| NPI | 1205134970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERELYS PEREZ Administrator 305-442-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2017-02-23 |