| NPI | 1568985281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSLAN H RIVERA. Owner. 786-295-4799 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 11068) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-10-27 |