| NPI | 1669296828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODELAISYS ENRIQUEZ HERNANDEZ Practitioner 305-206-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 208D00000X General Practice | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 251E00000X Home Health | |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2026-06-20 |