NPI | 1538674395 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIEL JESUS MIR REMEDIOS Owner 786-542-6933 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
261Q00000X Clinic/Center (Licence: FL 13169) | |
Enumeration Date | 2017-12-02 |
Last Update Date | 2022-10-24 |