| NPI | 1831914324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS DE LA TORRE Owner 786-701-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-21 |