| NPI | 1316649841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNIA PENA SALGADO President 786-488-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-10-28 |