| NPI | 1568593937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA-JOSEFINA S RIVERA Pres 386-325-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 76342) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-03-24 |