| NPI | 1659005858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO PENA BELLO Owner 786-461-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-09-12 |