| NPI | 1417528829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RODRIGUEZ CEO/Owner 786-452-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2024-04-22 |