| NPI | 1265918684 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YOLAINE TORRES Medical Doctor 305-560-4995 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME127411) | 
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME127411) | 
| Enumeration Date | 2018-07-18 | 
| Last Update Date | 2024-09-27 |