| NPI | 1053186452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYDIA LOPEZ DE LEON Asistente 787-585-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 225700000X Massage Therapist | |
| 261Q00000X Clinic/Center | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |