| NPI | 1356942288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIDY EXPOSITO DE LA CRUZ Owner 786-405-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2024-09-18 |