| NPI | 1871135343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA V VICTORERO COO 305-266-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |