| NPI | 1720663016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A ROCA ULLOA President 786-542-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2025-07-11 |