| NPI | 1285958355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO S CUERVO Owner/President 305-661-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0040730) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0040730) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2014-08-29 |