| NPI | 1891562146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILYN LOPEZ OLIVERA Owner 786-337-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-06-07 |