| NPI | 1649365883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO R REYES-AYALA Physician 305-663-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME74498) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-10-23 |