| NPI | 1538901202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYQUEL ARIAS MORALES President 786-376-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-07-16 |