| NPI | 1912873464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ REINA LEDESMA Psychiatry Provider 786-707-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |