| NPI | 1497366256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE YALIAN BENITEZ Owner 786-439-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| 251B00000X Case Management | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2021-01-11 |