| NPI | 1679270623 |
|---|---|
| Doing Business As | CLINICA HAVANA |
| Entity Type | Organization |
| Authorized Contact | NORBE LUIS BASULTO BARCELAY Director 786-556-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-03-31 |