| NPI | 1609652247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS VEGA MORALES CEO 305-563-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-06-21 |