| NPI | 1760430201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULEIMY LUGONES President / Owner 786-381-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 225100000X Physical Therapist | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-11-01 |