| NPI | 1235347113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE GERALDO VALIENTE President 305-552-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME23012) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |