| NPI | 1902430127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA CARIDAD GONZALEZ GARCES President 786-661-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 208D00000X General Practice |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2021-05-24 |