| NPI | 1972479871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL ALEJANDRO BETANCOURT CARDENAS Authorized Official 786-541-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |