| NPI | 1417534280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURALDYS MORENO Owner/CEO 786-953-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-08-27 |