NPI | 1376034561 |
---|---|
Entity Type | Organization |
Authorized Contact | WILFREDO RAMIREZ President 786-828-7905 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2021-07-27 |