| NPI | 1366943045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLEIDY VALIDO MARTINEZ President 786-703-3649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |