| NPI | 1285298521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALY PASCAL TRAVIESO CEO 786-580-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 171M00000X Case Manager/Care Coordinator | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2021-02-10 |