| NPI | 1538547252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN DIEGO ESTRADA CEO 786-882-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-02-06 |