| NPI | 1811869571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYELIN MATOS Ap RN 786-316-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-23 |