| NPI | 1104349158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO BOGOLJUBSKIJ Presidente 787-318-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: MA 7046) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |