| NPI | 1518789536 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YANET CATA CRUZ Ambr 786-355-8438 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2024-10-30 | 
| Last Update Date | 2025-04-14 |