| NPI | 1952811234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE M QUINTANA President 786-636-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |