| 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 Community/Behavioral Health | |
| 261Q00000X (Licence: FL 13169) | |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2022-10-24 |