| NPI | 1306011853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO BERNABE MONTOYA President 305-559-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0071746) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2010-01-20 |