| NPI | 1285916015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO CESAR REYES-GAVILAN Owner 786-246-7289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME121514) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2023-07-20 |