| NPI | 1679209480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO MOISES MARTIN President Of Center Operations 305-913-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |