| NPI | 1205516721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISNY D MARTIN LOPEZ President 786-564-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-05-10 |