| NPI | 1861158016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS R ALVAREZ CEO 786-552-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-13 |