| NPI | 1306207972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE E DOMINGUEZ President 787-596-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PR 2745) |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation (Licence: PR 2745) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-06-15 |