| NPI | 1407326499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR L PEREZ Owner 786-703-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2019-01-31 |