| NPI | 1285513507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO JESUS BUSTILLO President 305-527-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |