| NPI | 1538952973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS DIAZ VALLADARES Owner 305-456-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-10-29 |