| NPI | 1326623729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DIAZ Owner 786-614-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-05-27 |