| NPI | 1760125769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO RODRIGUEZ President 305-218-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-07-25 |