| NPI | 1346054608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONOR CASTILLO MARTINEZ Mgr Administrator 786-533-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |