| NPI | 1245990019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSNIEL MARIN President 786-568-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2025-02-11 |