| NPI | 1326830175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL A TAMAYO President 305-445-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |