| NPI | 1962053728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONOEL PENALVER Physician/Owner 786-470-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-11-22 |