| NPI | 1992173009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTO P CASTILLO President 786-346-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |