| NPI | 1831506542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CUESTA Owner/President 786-615-2713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME438957) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |