| NPI | 1255158168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE M ROQUE President 787-960-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |