| NPI | 1790429868 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | JOCELYN GONZALEZ Controller 787-787-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |