| NPI | 1841939758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIANA CAMEJO Owner 786-452-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-04-03 |