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