| NPI | 1225435621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAQUIN W ROSADO Owner 754-206-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2019-10-09 |