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 |