| NPI | 1639811052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERTO RIPOLL President 786-356-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2023-12-12 |