| NPI | 1518556208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOHAN PENARANDA President 786-226-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2022-01-12 |