| NPI | 1790077444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L. DE JESUS Presidente 787-270-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PR 001043) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |