| NPI | 1659732030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAUDILIO JESUS CUSCO-PRIETO Medical Director 786-502-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME22691) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |