| NPI | 1538963418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDYS REVE URGELLES Md 786-817-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-11-21 |