| NPI | 1710434485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERELYS PEREZ Administrator 305-442-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME45472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME43821) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-10-24 |