| NPI | 1508590977 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ZULEIKA HERNANDEZ Owner 786-803-8550  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine | 
| Additional Taxonomies | 207P00000X Emergency Medicine | 
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-07-12 | 
| Last Update Date | 2022-10-18 |