| NPI | 1740721281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GONZALEZ President 305-424-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2019-03-06 |