| NPI | 1558197525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET PEREZ ALVAREZ Administrator 786-803-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |