| NPI | 1992256572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULEXIS RODRIGUEZ PORTAL Owner 305-456-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2026-06-26 |