| NPI | 1972376093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRAIDA POZO President 786-307-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2024-07-27 |