| NPI | 1467995894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS MANUEL GONZALEZ President 786-715-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2021-08-03 |