| NPI | 1821732843 |
|---|---|
| Doing Business As | PONCE REHAB |
| Doing Business As | DERICK E. COLON LOPEZ |
| Entity Type | Organization |
| Authorized Contact | DERICK ENRIQUE COLON LOPEZ President 787-290-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |