NPI | 1295414787 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGEL ERNESTO RICO President 786-353-2098 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
Enumeration Date | 2023-07-13 |
Last Update Date | 2023-11-09 |