NPI | 1609993195 |
---|---|
Other Name | JUAN CACERES MUSKUS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124684) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: PR 8835) |
261QM2500X Clinic/Center Medical Specialty (Licence: PR 8835) | |
261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: PR 8835) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2021-09-09 |