| NPI | 1972140523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYANES SAMPEDRO RIVERO President 786-275-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-09-06 |