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Organization
MJ PRISMA CORP
Active
Organization
MJ PRISMA CORP
Active
Other names
MJ Prisma Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MIYANIL HERNANDEZ MELEDEZ OTL (CEO)
(787) 602-3110
Entity
Organization
Contact information
Practice address
CARR 685 KM 2.9, MANATI, PR 00674
(787) 602-3110
(787) 602-3110
Mailing address
PO BOX 1621, MANATI, PR 00674-1621
(787) 602-3110
(787) 854-0255
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
03/27/2013
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