| 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 |