| NPI | 1780636878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN A NIEVES President 305-826-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL 600195-2) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |