| NPI | 1699543470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREIDYS MALETA Authorized Official 786-223-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |