| NPI | 1912419524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO GERENSTEIN President 305-956-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2018-04-12 |