| NPI | 1891321881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GASCA DIAZ CEO 305-608-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-04-13 |