| NPI | 1952683815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL ENRIQUE LOPEZ President 787-998-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PR 15704) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-11-21 |