| NPI | 1972220192 |
|---|---|
| Former Legal Business Name | SOLE PROPRIETOR |
| Entity Type | Organization |
| Authorized Contact | SAMARIZ FRAGOSO PAGAN CEO 787-409-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |