| NPI | 1588035794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS O GASCA President 786-762-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-07-21 |