| NPI | 1649502626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA ROQUE-GUERRERO Medical Doctor 305-554-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME56037) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2023-04-06 |