| NPI | 1982472700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALEXANDER FONTANEZ NIEVES President 787-408-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-08-05 |