| NPI | 1730674029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO HUMBERTO DE LA TORRE MARTINEZ President 786-857-9296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL hcc11379) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2026-06-26 |