| NPI | 1639961824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS RUIZ BERGON Owner Director 786-250-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |