| NPI | 1659749166 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | JOSE JAVIER DIAZ VAZQUEZ Authorized Person 939-274-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: PR 4519) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2024-01-24 |