| NPI | 1497141170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE GUERRA Prsident 786-328-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-05-06 |