| NPI | 1619303112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ARMANDO ESPINO CEO/President 786-395-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |