| NPI | 1134650880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL RIVERA VEGA President 787-790-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PR 1008) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: PR 1361) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |