| NPI | 1447062823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR RICARDO PAYARES Owner 305-609-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2026-01-06 |