| NPI | 1528312824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE J RUEDA President 786-401-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2021-06-16 |