Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI Number | 1033418496 |
| LBN Legal business name | NUEVA VIDA DE LA SALUD II |
| Authorized official | JORGE PRADO - (PRESIDENTE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/23/2011 |
| Last updated | 03/23/2011 - About 15 years ago |
| Identifiers | n/a |
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