| 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 |