| NPI | 1275106049 |
|---|---|
| Other Name | AGAPE HEALTH PROVIDER LLC |
| Entity Type | Organization |
| Authorized Contact | RAFAEL I VALENZUELA JARAMILLO Owner 305-434-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-09-13 |