| NPI | 1598159758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L MARRERO PADRINO President 786-368-7918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-02-10 |