| NPI | 1720494172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS V CORTEZ President 786-409-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL Me116) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |