| NPI | 1740084656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E HERNANDEZ President/Owner 786-237-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |