| NPI | 1588028062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA C RODRIGUEZ Owner 305-794-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-10-21 |