| NPI | 1770533036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIXTO ALFONSO President 305-541-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME62522) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-09-29 |