| NPI | 1760470652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO CRUZ CEO 305-576-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2022-07-21 |