| NPI | 1477367613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RAUL PEREZ LANDABURO Vice President 786-930-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |