| NPI | 1255955761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID BADILLO GONZALEZ Owner 346-546-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 225700000X Massage Therapist | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 171100000X Acupuncturist | |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 364SR0400X Clinical Nurse Specialist, Rehabilitation | |
| 2085B0100X Radiology, Body Imaging | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2026-06-28 |