| NPI | 1962876557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYREMIS RODRIGUEZ President 786-227-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2021-11-08 |