| NPI | 1649617234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE LOPEZ President 786-360-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 700908-7) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |