| NPI | 1518670298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID BADILLO GONZALEZ Owner 863-812-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 133NN1002X Nutritionist Nutrition, Education | |
| 146N00000X Emergency Medical Technician, Basic | |
| 171100000X Acupuncturist | |
| 175F00000X Naturopath | |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2085B0100X Radiology Body Imaging | |
| 225700000X Massage Therapist | |
| 226300000X Kinesiotherapist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 364SR0400X Clinical Nurse Specialist Rehabilitation | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2024-02-13 |