| NPI | 1942660816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER TIRADO President 305-944-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |