NPI | 1528795499 |
---|---|
Entity Type | Organization |
Authorized Contact | TANIA LIZ ROSARIO DOMINGUEZ Owner/Medical Director 305-317-9592 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine |
261QI0500X Clinic/Center, Infusion Therapy | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2022-08-02 |
Last Update Date | 2024-12-10 |