| NPI | 1952816522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DIANELYS DE LA TORRE President 786-231-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |