| NPI | 1245077908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGELA HERRERA President 786-703-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |