| NPI | 1780521823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRASEMA MARRERO-GUERRA Owner 786-800-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-04-29 |