| NPI | 1306291786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE S CAMPOS Office Owner 862-666-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-02-19 |