| NPI | 1538050067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDO REVILLA FIOL Ap RN, Pmhnp Bc/Manager 786-844-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-14 |