| NPI | 1972871937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO LAMADRID Owner 786-691-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2023-01-24 |