| NPI | 1992561492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA MENES Owner 786-587-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2025-08-07 |