| NPI | 1316510506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIUVA CRUZ DUQUE Authorized Official 786-389-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2025-10-13 |