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 Community/Behavioral Health |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2020-11-06 |
Last Update Date | 2025-03-31 |