NPI | 1912591041 |
---|---|
Former Legal Business Name | ON SITE PREVENTIVE MEDICINE CSP |
Entity Type | Organization |
Authorized Contact | MAXIMO C BLONDET Owner 787-409-5869 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QP0905X Clinic/Center, Public Health, State or Local | |
261QP2300X Clinic/Center, Primary Care | |
261QP2400X Clinic/Center, Prison Health | |
261QR1300X Clinic/Center, Rural Health | |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
332900000X Non-Pharmacy Dispensing Site | |
333300000X Emergency Response System Companies | |
Enumeration Date | 2021-03-01 |
Last Update Date | 2021-03-23 |