| NPI | 1669067344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN M PEREZ SANTAMARIA Manager 786-975-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-05 |