| NPI | 1255673067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN PORTELA SANCHEZ Manager 787-761-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: PR 094) |
| 111N00000X Chiropractor (Licence: PR 0570) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist (Licence: PR 933) | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 330) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2018-12-20 |