| NPI | 1215752225 | 
|---|---|
| Doing Business As | INTEGRA HEALTH MD | 
| Entity Type | Organization | 
| Authorized Contact | JORGE CARRIAZO ISASI Medical Director 786-326-8080 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2024-11-15 | 
| Last Update Date | 2024-11-15 |