| NPI | 1821520941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CUEVAS Billing Administrator 305-801-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9199231) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |