| NPI | 1629652995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO A LOPEZ CEO 786-256-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-08-11 |