| NPI | 1518684166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENIS TORRES- NIEBLA CEO 786-398-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-10-23 |