| NPI | 1528943222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA ROSA President 786-609-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-09-10 |