| NPI | 1881910834 |
|---|---|
| Doing Business As | BODYLOGICMD OF SAN JUAN |
| Entity Type | Organization |
| Authorized Contact | KENNETH CINTRON Director 866-972-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 011797) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |