| NPI | 1609377035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINA DEL CARMEN DIAZ Owner/President 305-643-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-04-05 |