| NPI | 1295310514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO RODRIGUEZ TANQUERO President 786-227-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2023-11-21 |