| NPI | 1285064790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A RIVERA Owner 772-360-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME109841) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2014-11-10 |