| NPI | 1902291032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CRESPO Presidente 786-317-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ACN613) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-02-15 |