| NPI | 1710766746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIADNA HIERRO Manager 786-624-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-08-07 |